Hiatal Hernia Large
Conditions
Brief summary
Patients who underwent laparoscopic repair of large hiatal hernias and anterior fundoplication with mesh are examined for their recurrence rate one year after surgery.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Age older than 18 years * Initially suffering from large hiatal hernia (\>20% of the stomach in the thoracic cavity) * Performance of laparoscopic hiatal hernia repair with mesh and anterior fundoplication * Informed Consent as documented by signature (Appendix: Informed Consent Form)
Exclusion criteria
* Performance of any other anti-reflux surgery such as Toupet- or Nissen-fundoplication * Performance of anterior fundoplication without mesh * Women who meet the inclusion criteria but are pregnant or breast feeding or have the intention to become pregnant during the course of the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Radiological recurrence rate of hiatal hernia determined by computer tomography (CT) scan | minimum 1 year after surgery | To evaluate the radiological recurrence rate of hiatal hernia at least one year after surgery by performing a computer tomography |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life by GIQLI | minimum 1 year after surgery | Estimate the quality of life using a standardized questionnaire (Gastrointestinal Qualitiy of Life Index = GIQLI) at least one year after surgery |
| Clinical outcome | minimum 1 year after surgery | Evaluate the clinical outcome at least one year after surgery by examining the patient and asking targeted questions on the symptoms regarding the former hiatal hernia (using visual analogue scale questions on dysphagia, meteorism, bloating, reflux and retrosternal pain). Furthermore the patients are asked about their general satisfaction regarding the performed surgical intervention. |
| Peri- and postoperative morbidity / mortality | minimum 1 year after surgery | Evaluate the peri- and postoperative morbidity and mortality from the patient records and a clinical examination |
Contacts
Principal Investigator